Low D E, Shoenut J P, Kennedy J K, Harding G K, Den Boer B, Micflikier A B
Department of Medicine, St. Boniface General Hospital, Winnipeg, Man.
Can J Surg. 1987 Nov;30(6):421-3.
A prospective assessment of the risk of bacteremia with endoscopic sphincterotomy was made in 81 patients who underwent 95 procedures. Blood samples were taken for culture in all patients before and at 5 and 10 minutes after the last incision of the sphincter by the papillotome. An additional blood sample was obtained for culture within 30 seconds of the final incision in 32 of the 95 procedures. The rate of blood-culture positivity before the procedure was not significantly different from the post-incisional rate (1% compared with 3%, p greater than 0.05). No patient suffered from fever or chills during the 24 hours after sphincterotomy.
对81例接受了95次内镜下括约肌切开术的患者进行了前瞻性菌血症风险评估。在所有患者中，于乳头切开刀最后一次切开括约肌之前、之后5分钟和10分钟采集血样进行培养。在95例手术中的32例，于最后一次切开后30秒内额外采集一份血样进行培养。术前血培养阳性率与术后阳性率无显著差异（分别为1%和3%，p>0.05）。在括约肌切开术后24小时内，无患者出现发热或寒战。
